Provider Demographics
NPI:1447414297
Name:WEST COAST CONSULTING
Entity Type:Organization
Organization Name:WEST COAST CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCGINLEY-WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-738-0649
Mailing Address - Street 1:25582 ROAD N.6 LOOP
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-9460
Mailing Address - Country:US
Mailing Address - Phone:907-738-0649
Mailing Address - Fax:
Practice Address - Street 1:102 E NORTH ST
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-3227
Practice Address - Country:US
Practice Address - Phone:907-738-0649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK910393101YP2500X
CO20121326047261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty